VA Claims Basics

What Is Rhinitis?

If you deal with a stuffy nose, sneezing, or a nose that won't drain right, this is what I know about how VA rates it, and what most veterans never get told.

Read 38 CFR 4.97 yourself
Why I'm writing this. "Rhinitis" is not one thing. VA rates different kinds of it under different rules, and some of those pay a lot more than others. I'm laying out what I can confirm, in plain words, so you know what to ask your provider for and what to file for. This is not medical advice and it is not a substitute for reading your own claims file.
The basics

What it is

The most common kind is allergic rhinitis — also called hay fever. VA describes it as an allergic reaction in the nose and airway, and lists it among conditions associated with military environmental exposures.

VA's own symptom list: sneezing; a runny or stuffy nose; itching of the eyes, nose and mouth; post-nasal drip; cough; irritability; and fatigue.

Allergic rhinitis is not the only kind. Bacterial rhinitis and granulomatous rhinitis are separate medical conditions, and VA rates them under separate codes — codes that can pay a lot more than the one most flyers show you. I cover all three below.

★ Know which kind you have. It changes the rating.
DC 6522

How VA rates allergic or vasomotor rhinitis

38 CFR 4.97, Diagnostic Code 6522 — this code only. Other kinds of rhinitis are rated under different codes, further down this page.

RatingWhat has to be documented
0%Rhinitis is diagnosed, but it does not meet the criteria below for a paying rating.
10%Without polyps, but with greater than 50% obstruction of the nasal passage on both sides, OR complete obstruction of the nasal passage on one side.
30%With polyps. This is the maximum under DC 6522 — not the maximum for every kind of rhinitis. See the codes below.
Symptoms do not drive this rating. Under DC 6522 the rating turns on two things only: how much the nasal passage is obstructed, measured on each side, and whether polyps are present. Severe daily sneezing, congestion, and postnasal drip with under 50% obstruction and no polyps still rates 0%. Make sure your examiner measures obstruction on both sides separately and states in writing whether polyps are present.
★ Get both numbers on paper: obstruction, and the polyps answer.
Don't stop at 30%

Other rhinitis codes pay more

If your rhinitis is bacterial or granulomatous, not allergic, a different code applies — and it can pay far above the 30% cap on DC 6522.

  • DC 6523, bacterial rhinitis — 10%, or 50% for rhinoscleroma.
  • DC 6524, granulomatous rhinitis — 20%, or 100% for Wegener's granulomatosis or lethal midline granuloma.

Ask your provider, in plain words, which kind of rhinitis your chart says you have. A veteran who assumes 30% is the ceiling never files under the code that pays 100%.

★ The name on your diagnosis decides the code.
Easy to miss

Two more ratings people leave on the table

  • Loss of smell or taste. If rhinitis or nasal polyps have cost you your sense of smell or taste, that is a separate 10% rating — 38 CFR 4.87a, DC 6275 for smell, DC 6276 for taste. It is outside the respiratory schedule and not capped by the 30% under DC 6522. Limit: VA will only assign it if the examiner documents an anatomical or pathological cause. "I can't smell anything" on its own will not get it — ask the examiner to document why.
  • Sinusitis. Rated separately, under its own codes, DC 6510–6514, and rhinitis and sinusitis often occur together. Under 38 CFR 4.96(a), VA's rule against combining ratings applies only to codes 6600–6817 and 6822–6847 — DC 6522 falls outside that range, so a rhinitis rating and a sinusitis rating CAN both be paid. The limit is 38 CFR 4.14: VA will not pay twice for the same symptom, so your sinusitis claim needs its own evidence — incapacitating episodes, antibiotic courses, headaches, and purulent discharge — not the same congestion already paid under DC 6522.
★ Ask about smell, taste, and sinusitis as their own claims.
PACT Act

Chronic rhinitis can skip the hardest fight

Chronic rhinitis is a PACT Act presumptive condition for burn pit and particulate matter exposure. If you served on or after 11 Sep 2001 in Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, or Yemen — or the airspace above — or on or after 2 Aug 1990 in Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, the UAE, or the airspace above, the Arabian Sea, Gulf of Aden, Gulf of Oman, Persian Gulf, Red Sea, or the Iraq/Saudi Arabia neutral zone, VA presumes the connection. You do not have to prove a nexus.

See VA's presumptive locations and dates — chronic sinusitis carries the same presumption.

★ Served there, in that window? You don't have to prove the connection.
If you're denied

Filing and appeal basics

File the initial claim on VA Form 21-526EZ. If it's denied, you have three lanes.

  • Higher-Level Review — VA Form 20-0996, within 1 year. Not available for a contested claim; those go to the Board only, on a 60-day clock.
  • Board Appeal — VA Form 10182, within 1 year.
  • Supplemental Claim — VA Form 20-0995. No deadline to file it. But file within 1 year of the decision to protect your effective date. Under 38 CFR 3.2500, filing later means VA can only pay back to the date it receives the Supplemental Claim, not to your original claim date. A Supplemental Claim is the right lane once you get a new exam documenting obstruction or polyps that the first exam missed.
Representation. An accredited VSO representative is free. An accredited attorney or claims agent may charge a fee, but only after VA issues its initial decision — up to 20% of past-due benefits is presumed reasonable under 38 CFR 14.636.
★ A Supplemental Claim never expires. Wait past a year and you still win — you just lose the back pay.